Morais, LMPortugal, GCruz Ferreira, R2020-02-052020-02-052019-06-01Eur Heart J Case Rep. 2019 Jun 1;3(2). pii: ytz009.http://hdl.handle.net/10400.17/3413BACKGROUND: Cardiogenic shock remains challenging in its therapy and aetiology. CASE SUMMARY: A 74-year-old woman admitted for cardiogenic shock requiring mechanical ventilation and high-dose inotropics and vasopressors with an electrocardiogram showing left ventricular (LV) lateral wall ischaemia had diffuse coronary artery disease but TIMI III flow in the coronary tree. An echocardiogram showed a suspicious mass invading the left ventricle and computed tomography scan revealed an advanced lung cancer with LV wall and pulmonary artery invasion as the cardiogenic shock cause. DISCUSSION: When managing cardiogenic shock, it is important to consider different and not obvious diagnosis. A high level of clinical suspicion and multimodality imaging assessment was very important in the present case to attain the diagnosis.engHSM CARCardiogenic ShockCase ReportLung CancerMultimodality imagingjournal article10.1093/ehjcr/ytz009